Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.43 / $7,838.38 / $7,838.38	Facility		$745.43	$7,838.38	$7,838.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.08 / $766.17 / $1,162.83	Professional		$684.08	$766.17	$1,162.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $628.04 / $1,101.13 / $1,351.30	Professional		$628.04	$1,101.13	$1,351.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $204.06 / $1,101.99	Professional		$32.34	$204.06	$1,101.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.20 / $987.90 / $1,129.08	Facility		$776.20	$987.90	$1,129.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $844.20 / $1,101.13 / $1,351.30	Professional		$844.20	$1,101.13	$1,351.30
United Facility/Professional Facility Modifier Low / Median / High Price $7,315.00 / $11,259.00 / $12,494.00	Facility		$7,315.00	$11,259.00	$12,494.00
United Facility/Professional Professional Modifier Low / Median / High Price $928.51 / $1,135.20 / $1,626.60	Professional		$928.51	$1,135.20	$1,626.60